Urodynamics in a community-dwelling population of females 80 years or older: which motive? Which diagnosis?
Int. braz. j. urol
;
36(2): 218-224, Mar.-Apr. 2010. tab
Article
in English
| LILACS
| ID: lil-548383
ABSTRACT
PURPOSE:
To determine why community-dwelling women aged 80 years or over were referred for urodynamic evaluation despite their advanced age and which urodynamic diagnosis was made. MATERIALS ANDMETHODS:
One hundred consecutive females (80-93 years) were referred to our urodynamics outpatient clinic for evaluation of lower urinary tract symptoms (LUTS) between 2005 and 2008. Clinical evaluation comprised of a previous history of LUTS, previous medical history of neurological disease or dementia, pelvic floor dysfunction or prior pelvic surgery. Exclusion criteria were complete retention and severe dementia involving failure to understand simple instructions. Assessed items were results of uroflows (free flow and intubated flow), cystometry and urethral pressure profilometry, and final urodynamic diagnosis.RESULTS:
The main complaint evoked by the patients was incontinence (65.0 percent) of which 61.5 percent was "complicated" and urgency was reported by 70.0 percent. Interpretable free flow at arrival was very low (44.0 percent). Prevalence of detrusor overactivity was high, found in 45 patients of whom 16 had detrusor hyperactivity with impaired detrusor contractility. Detrusor overactivity and urgency were strongly associated (p = 0.004). Twenty-five patients had intrinsic sphincteric deficiency alone and 15 detrusor underactivity.CONCLUSION:
In this particular community-dwelling with an elderly female population, urodynamics is easily feasible. Incontinence, mainly "complicated" is the more frequent complaint and urgency the more frequent symptom. Urodynamic diagnosis underlines the high incidence of detrusor overactivity as well as impaired detrusor function.
Full text:
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Index:
LILACS (Americas)
Main subject:
Urodynamics
/
Urinary Bladder
/
Urinary Bladder Neck Obstruction
Type of study:
Diagnostic study
/
Incidence study
/
Prevalence study
/
Prognostic study
/
Risk factors
Limits:
Aged
/
Aged80
/
Female
/
Humans
Country/Region as subject:
Europa
Language:
English
Journal:
Int. braz. j. urol
Journal subject:
Urology
Year:
2010
Type:
Article
Affiliation country:
France
Institution/Affiliation country:
Hôpital Charles Foix/FR
/
Université Pierre et Marie Curie/FR
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